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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Waupaca, WI —

OSHA Injury Report: 534-00352

Injury · Days away from work

At a glance

On , an injury at 534-00352 in 955 W Fulton St, Waupaca, WI 54981 resulted in days away from work. Employee was sTORE NIGHT CLERK in supermarkets and Other Grocery Except Convenience Stores.

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Where did this happen?

Establishment
534-00352
Parent company
Roundy's
Street
955 W Fulton St
City
Waupaca
State
WI
ZIP
54981
On-site location
DRUG GM SALES FLOOR AISLE 10

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
22

Before the incident

LIFTING A BAG OF DOG FOOD OVERHEAD

What happened

EE WAS IN AISLE 10 WORKING OFF A PALLET LIFTEN A 40 POUND BAG OF DOG FOOD LIFTED IT ABOVE HIS HEAD THEN HELD IT AT CHEST LEVEL HE STARTED TO DROP IT AND AS HE TRIED TO CATCH IT HE HURT HIS LEFT FOREARM CLAIMS IT FEELS WARM AND TIIGHT

Injury or illness

Strained Left Lower arm Lifting 40LBS BAG OF DOG FOOD

Object or substance involved

40LBS BAG OF DOG FOOD

Summary line

Strained Left Lower arm Lifting 40LBS BAG OF DOG FOOD

Employee and industry

Job description
STORE NIGHT CLERK
SOC code
53-7065 — Stockers and Order Fillers
NAICS code
445110 — Supermarkets and Other Grocery Except Convenience Stores
NAICS vintage
2012
Avg employees
121
Total hours worked
169577
EIN
390854535
Establishment ID
966281
Employer case #
872466

When (timing detail)

Date of incident
Shift started
23:00
Time of incident
2:00
Filing year
2024
Submitted
26FEB2025:20:58:00

More injuries at 534-00352

View 534-00352's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.